{ "resourceType" : "Observation", "id" : "mii-exa-kardio-lvef", "meta" : { "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-linksventrikulaere-ejektionsfraktion"] }, "language" : "de", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation mii-exa-kardio-lvef

Language: de

Profile: MII PR Kardio Linksventrikulaere Ejektionsfraktion

identifier: http://hospital.demo.org/observation-lvef/lvef-123456

basedOn: Echokardiographie: Beispielanforderung

partOf: Echokardiographie: Beispieluntersuchung

status: Final

category: Imaging

code: Linksventrikuläre Ejektionsfraktion

subject: Max Mustermann (official) Male, DoB: 1980-01-01 ( Krankenaktennummer: 0123456789\u00a0(use:\u00a0usual,\u00a0))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode[10.0.0]#IMP); period = 2023-12-01 10:00:00+0100 --> 2023-12-03 11:00:00+0100

effective: 2025-05-12 10:15:00+0100

performer: Beispielarzt

value: 55 % (Details: UCUM code% = '%')

interpretation: Normal

bodySite: Linker Ventrikel

method: Echokardiographie

device: Philips EPIQ CVx Ultrasound System

referenceRange

low: 50 % (Details: UCUM code% = '%')

text: Normal

referenceRange

low: 41 % (Details: UCUM code% = '%')

high: 49 % (Details: UCUM code% = '%')

text: Mildly reduced

referenceRange

high: 40 % (Details: UCUM code% = '%')

text: Reduced

Generated Narrative: Patient #Beispielpatient

Language: de

Max Mustermann (official) Male, DoB: 1980-01-01 ( Krankenaktennummer: 0123456789\u00a0(use:\u00a0usual,\u00a0))

Contact DetailMusterstraße 1 Musterstadt 12345 DE

Generated Narrative: Encounter #Beispielfall

Language: de

status: Finished

class: ActCode: IMP (inpatient encounter) (version = 10.0.0 )

subject: Max Mustermann (official) Male, DoB: 1980-01-01 ( Krankenaktennummer: 0123456789\u00a0(use:\u00a0usual,\u00a0))

period: 2023-12-01 10:00:00+0100 --> 2023-12-03 11:00:00+0100

" }, "contained" : [{ "resourceType" : "Patient", "id" : "Beispielpatient", "language" : "de", "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "version" : "5.0.0", "code" : "MR", "display" : "Krankenaktennummer" }] }, "value" : "0123456789" }], "name" : [{ "use" : "official", "family" : "Mustermann", "given" : ["Max"] }], "gender" : "male", "birthDate" : "1980-01-01", "address" : [{ "type" : "both", "line" : ["Musterstraße 1"], "city" : "Musterstadt", "postalCode" : "12345", "country" : "DE" }] }, { "resourceType" : "Encounter", "id" : "Beispielfall", "language" : "de", "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "10.0.0", "code" : "IMP" }, "subject" : { "reference" : "#Beispielpatient" }, "period" : { "start" : "2023-12-01T10:00:00+01:00", "end" : "2023-12-03T11:00:00+01:00" } }], "identifier" : [{ "system" : "http://hospital.demo.org/observation-lvef", "value" : "lvef-123456" }], "basedOn" : [{ "display" : "Echokardiographie: Beispielanforderung" }], "partOf" : [{ "display" : "Echokardiographie: Beispieluntersuchung" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "version" : "2.0.0", "code" : "imaging", "display" : "Imaging" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/900000000000207008/version/20260701", "code" : "250908004", "display" : "Left ventricular ejection fraction" }, { "system" : "http://loinc.org", "version" : "2.83", "code" : "10230-1", "display" : "Left ventricular ejection fraction" }], "text" : "Linksventrikuläre Ejektionsfraktion" }, "subject" : { "reference" : "#Beispielpatient" }, "encounter" : { "reference" : "#Beispielfall" }, "effectiveDateTime" : "2025-05-12T10:15:00+01:00", "performer" : [{ "display" : "Beispielarzt" }], "valueQuantity" : { "value" : 55, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "N", "display" : "Normal" }] }], "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/900000000000207008/version/20260701", "code" : "87878005", "display" : "Left cardiac ventricular structure" }], "text" : "Linker Ventrikel" }, "method" : { "coding" : [{ "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/900000000000207008/version/20260701", "code" : "40701008", "display" : "Echocardiography" }], "text" : "Echokardiographie" }, "device" : { "display" : "Philips EPIQ CVx Ultrasound System" }, "referenceRange" : [{ "low" : { "value" : 50, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "text" : "Normal" }, { "low" : { "value" : 41, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "high" : { "value" : 49, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "text" : "Mildly reduced" }, { "high" : { "value" : 40, "unit" : "%", "system" : "http://unitsofmeasure.org", "code" : "%" }, "text" : "Reduced" }] }